Erasmus Intensive Programme (IP) FINAL REPORT FORM FOR THE BENEFICIARY

Transkrypt

1 ERA_IP_ Załącznik III cz. 1, 2, 4 Erasmus Intensive Programme (IP) FINAL REPORT FORM FOR THE BENEFICIARY Grant agreement reference number: 1

2 1. Overview General instructions The Final Report for the IP project comprises the following parts: Part 1 Part 2 Part 3 Part 4 Part 5 A description of the IP project activities, products and results Declaration of Expenditure Statistical data ( IP Data Dictionaries 2011/2012 in Microsoft Excel format) Acknowledgement of Receipt Description of the project (in Polish in Microsoft Word format) 2. General guidance This report is considered as your request for a payment of the balance of the grant. You should consult with any existing Guidelines provided by the NA before filling in the reporting forms. The Final Report is submitted by the Beneficiary on behalf of all the organisations participating in the project. The declaration on the following page confirms that a process of consultation and approval has been carried out throughout the partnership. It is therefore important that the required information should be collected in good time before the deadline for submission of the Final Report. Parts: 1, 2 and 4 of the Report must be fulfilled and submitted to the NA via FRSE OnLine System: within 60 calendar days after the final end date of the Intensive Programme, as it is indicated in Article IV.2 of the Grant Agreement or, if applicable, as agreed with NA in relevant document, but no later than 31 st October 2012 (closing time for the submission: 31 st October 2012, 23:59); One electronic copy of Part 3 and Part 5 of the Report must be sent to the NA via Bezpieczny formularz FRSE: within 60 calendar days after the final end date of the Intensive Programme, as it is indicated in Article IV.2 of the Grant Agreement or, if applicable, as agreed with NA in relevant document, but no later than 31 st October 2012 (closing time for the submission: 31 st October 2012, 23:59); One hard copy of the Report (Parts 1-5) must be sent to the NA within 60 calendar days after the final end date of the Intensive Programme, as it is indicated in Article IV.2 of the Grant Agreement or, if applicable, as agreed with NA in relevant document (date as postmark; with original signature of the institution s legal representative and original stamp of the institution), but no later than 31 st October 2012 (date as postmark; with original signature of the institution s legal representative and original stamp of the institution) to: Fundacja Rozwoju Systemu Edukacji Program Uczenie się przez całe życie (LLP) -Erasmus ul. Mokotowska Warszawa with a note IP Raport Please attach to your Report, one copy of all project products and results. If you refer to web sites, passwords should be given for all private areas. Each page of the Report and all copies of products and results have to bear the Grant Agreement number. You are strongly advised to send your Report by registered post to ensure a record of postage. Additionally, you are advised to keep a copy of the full report, including any annexes. Please note that a late submission of the Report may result in financial corrections or even cancellation of the Grant Agreement, in accordance with the general conditions of the Agreement. 2

3 Checklist and declaration Checklist Please check the following points before submitting your Final Report There is a complete and securely bound copy of the Final Report and an on-line and electronic copies The Grant Agreement number is specified on each page of your Report and on each attached document, product or result. The Declaration by the Beneficiary below has been signed and stamped by the legal representative of the Beneficiary. One copy of the Final Report bears an original signature. All parts of the Report have been completed. One copy of all products and results is included. The Acknowledgement of Receipt has been duly completed (first part only). Declaration of Expenditure All expenditure presented in Part 2 of the report is eligible (see LLP Guide, Grant agreement (annex 1) Explanatory note on the budget in the application form). The expenditure is consistent with the activities undertaken during the eligibility period. All tables have been completed in EUR. The Declaration of Expenditure has been checked in order to assure that the totals of Tables 2.1 and 2.2 are equal to the totals shown in the summary table (Table 2.3). Declaration by the Beneficiary Grant Agreement number: I, the undersigned, hereby declare that the information contained in this Report is accurate and in accordance with the facts. In particular the financial data provided in this Report corresponds to the expenditure actually incurred by the project partners for the execution of the project activities. This information has been checked and approved by the partners involved in the activities set out in this Report. I herewith request payment of the outstanding balance for the project, in accordance with the terms of the Grant Agreement. Signed in: Miejscowość podpisania raportu on / / Data podpisania raportu przez przedstawiciela prawnego uczelni przez przedstawiciela prawnego uczelni Signature of the Beneficiary's legal representative Imię, nazwisko, podpis i pieczęć przedstawiciela prawnego uczelni Name and function in capital letters Seal/stamp of the organisation Pieczęć uczelni 3

4 Grant Agreement Reference Number: 1. Project information: Title of the IP Subject area / ISCED code name Location of the IP Start date of the IP * Total duration of the IP (number of days of subject-related work, min. 10 days) Part 1: Description of project activities, products and results Summary of the Activities Kod dziedziny zgodny z wnioskiem Data rozpoczęcia kursu intensywnego zgodnie z Art. III.1 umowy finansowej lub aneksem do umowy Liczba dni zajęć dydaktycznych podczas kursu intensywnego Kod dziedziny zgodny z wnioskiem End date of the IP* Total duration of stay in the location of the IP * The duration of the IP, without including preparatory or evaluation activities. 2. List of ACTIVE partners who have taken part in the IP Data zakończenia kursu intensywnego zgodnie z Art. III.1 umowy finansowej lub aneksem do umowy Liczba dni kursu intensywnego ogółem, w tym dni podróży i weekend (jeśli dotyczy) Erasmus Institutional ID Code Full name of the institution Number of teaching staff participating in the IP Partner institutions from the country where the IP took place Kody Erasmusa uczelni z kraju, w którym odbył się kurs intensywny wybór z menu rozwijalnego, zgodnie z Załącznikiem II do umowy Nazwy uczelni z kraju, w którym odbył się kurs intensywny wybór z menu rozwijalnego, zgodnie z Załącznikiem II do umowy Number of students participating in the IP Partner institutions from countries other than the country where the IP took place Kody Erasmusa uczelni z krajów innych niż państwo, w którym odbył się kurs intensywny wybór z menu rozwijalnego, zgodnie z Załącznikiem II do umowy Nazwy uczelni z krajów innych niż państwo, w którym odbył się kurs intensywny wybór z menu rozwijalnego, zgodnie z Załącznikiem II do umowy TOTAL Liczby łączne studentów i nauczycieli akademickich w tabelach powyżej (wiersz Total) oraz dane statystyczne w arkuszach SM i TM części 3 (Data Dictionaries) raportu powinny być zgodne. 4

5 Grant Agreement Reference Number: Summary of the Activities (continued) 3. Description of the preparatory activities undertaken BEFORE and AFTER the actual IP took place. Wykaz działań przeprowadzonych przez konsorcjum uczelni przed i po kursie intensywnym, ale w okresie obowiązywania umowy finansowej Stage of the project (start-end dates) Stage 1 (dd/mm/yy dd/mm/yy) Data rozpoczęcia i zakończenia działania Stage 2 (dd/mm/yy dd/mm/yy) Stage 3 (dd/mm/yy dd/mm/yy) Stage 4 (dd/mm/yy dd/mm/yy) Activities undertaken Nazwa/rodzaj działania/zadania Lead partner, other partners involved in the activities undertaken 4. Description of the timetable of the actual IP (if a detailed timetable and/or programme was published, please also attach a copy to this report). Please note that the length of the working day should be minimum 6-8 hours. Please indicate the working hours in the table below. Program całego kursu intensywnego, w tym dni podróży i weekend Stage of the project (start-end dates and hours worked) Day 1 (dd/mm/yy dd/mm/yy) Data i liczba godzin zajęć dydaktycznych danego dnia Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Day 8 Activities undertaken (including themes of activities and names of teaching staff/experts involved) Harmonogram danego dnia, uwzględniający tematykę i liczbę godzin poszczególnych zajęć oraz nazwiska (inicjały) nauczycieli akademickich zaangażowanych w prowadzenie poszczególnych zajęć / proces dydaktyczny 5

6 Day 9 Day 10 Day 11 Day 12 Day 13 Day 14 Day 15 6

7 Grant Agreement Reference Number: Activities (maximum 3 pages) Overall Description of the IP Please provide a comprehensive description, which gives a full account of the IP. Summarise under each heading (if applicable) the major divergence from the initial project plan and give the reasons for the changes. Provide an overview of the main difficulties encountered during the eligibility period, if any. The description should cover the following: Pola obowiązkowe do wypełnienia pod każdą grupą zagadnień 1. Objectives, Organisational aspects, Outputs (maximum 2 pages) Objectives Have the aims and objectives of the IP been achieved? If not, why? What means have been used to monitor their success or failure? How did the IP tie in with the existing teaching programmes of the participating institutions and explain what you consider to be innovative about the IP (in relation to each of the participating countries if the situation is different in each of them), namely in relation to defining or building a European dimension). Organisational aspects The organisational approach and structure developed within the partnership to manage the project: describe the role(s) of individual partners (including any non-participation), organisation of the work and the way transnational cooperation has taken place. Comment upon the appropriateness and effectiveness of the organisational approach in achieving the aims of the project. Please indicate also any other organisations/contacts involved. Where there any changes in the partnership? How was the selection of students and teachers made? Did you include disadvantaged and/or students and teachers with disabilities in the project? What was your approach for the transparent distribution of the amounts which the IP received for subsistence and travel costs? Have the participants received it fully or partially? Have you organised accommodation and/or meals centrally? Outputs Describe the outputs of the project (the programme implemented, qualitative and quantitative description of teaching material produced specifically for the IP, report/theses from the students, web-based exercises, multimedia products, websites etc.) Specify the nature, volume, structure, content and language used (where applicable). How was academic recognition arranged for the students? Were ECTS credits awarded and if so, how many ECTS points were awarded to how many students from which institutions? Any additional benefits and/or spin-offs of the project? (e.g. a curriculum development project or thematic network, research collaboration, etc.?) 2. Impact, Evaluation and Dissemination (maximum 1 page) Impact What impact did the IP have on the people involved (students, teachers)? What impact did the IP have on the institutions involved? How and to what extent has the IP improved academic teaching/learning in the subject/s concerned? Other? 7

8 Evaluation and Dissemination What tools and criteria have been used to monitor and evaluate the appropriateness and effectiveness of your work (process and results)? Who did the evaluation? What were the results? W tej części prosimy o przedstawienie wyników dokonanej przez studentów ewaluacji kursu intensywnej (analiza ankiet wg Załącznika IV do umowy finansowej - wzoru FRSE-NA). Were the outputs of the IP disseminated to a wider audience and if so, how? Were links established with other projects and/or networks within LLP or beyond? Have plans been made to extend the project partnership beyond the period of support from ERASMUS? 3. Contribution to the preferences for IP as published in the General Call for proposals 2011 (maximum 1 page) To what extent did the IP present a strong multidisciplinary approach, fostering the interaction of students from different academic disciplines? To what extent did your IP focus on subject areas which are currently under-represented in Erasmus student mobility at overall European level? (over-represented areas: business studies, social sciences, law, arts, humanities, languages) To what extent did your IP train students' entrepreneurial competencies in any subject area? Other information Please add any additional comment you may wish to make to the National Agency (such as recommendations for future measures, administrative procedures, key issues, etc). 8

9 Grant Agreement Reference Number: Part 2 - Declaration of Expenditure (in EUR) This section sets out the financial information required by the National Agency. Please make sure you use the subsistence rates set out in the grant agreement when filling in the tables. Please indicate here if you transferred amounts between travel and subsistence costs: Yes No If yes, please describe why the transfer was necessary and indicate the amounts as stated in the grant agreement and after transfer: Please note that the tables below should reflect the amounts after the transfer has been applied. Table 2.1 Travel and subsistence costs of students Please provide a breakdown of travel and subsistence costs for STUDENTS travelling to the IP. W tabeli 2.1 powinny zostać przedstawione informacje dla wszystkich studentów z uprawnionych uczelni, wymienionych w punkcie 2 części 1 raportu, dla których miejscowość przeprowadzenia kursu intensywnego nie była miejscowością siedziby ich uczelni macierzystej. Kwoty podane w wierszu Total i kwoty wpisane do arkusza General części 3 (Data Dictionaries) raportu powinny być zgodne. Number of students Country of origin Country of destination Duration in days (including travel days and weekend days without subject-related activities) Liczba dni pobytu poszczególnych studentów / grup studentów na kursie intensywnym, potwierdzona na liście obecności i w dokumentach podróży Subsistence Total requested funding for subsistence A Travel Total requested funding for travel based on real costs B 9

10 Total 10

11 Table 2.2 Travel and subsistence costs of teachers Please provide a breakdown of travel and subsistence costs for TEACHERS travelling to the IP. W tabeli 2.2 powinny zostać przedstawione informacje dla wszystkich nauczycieli akademickich z uprawnionych uczelni, wymienionych w punkcie 2 części 1 raportu, dla których miejscowość przeprowadzenia kursu intensywnego nie była miejscowością siedziby ich uczelni macierzystej. Kwoty podane w wierszu Total i kwoty wpisane do arkusza General części 3 (Data Dictionaries) raportu powinny być zgodne. Number of teachers Erasmus code of the HEI of origin Country of destination Duration in days (including travel days and weekend days without subject-related activities) Liczba dni pobytu poszczególnych nauczycieli akademickich / grup nauczycieli na kursie intensywnym, potwierdzona na liście obecności i w dokumentach podróży Subsistence Total requested funding for subsistence A Total estimated travel cost Travel Total requested funding for travel based on real costs B Total 11

12 Table 2.3 Summary of the LLP grant and the request for the grant payment Please provide a summary of the final balance of the IP after realisation, as compared to the grant indicated in Article III.1 of the Grant Agreement or in Amendment to the Grant Agreement. This will be your request for grant payment. LLP Grant (as stated in Article III.1 Type of cost of the Grant Agreement or Amendment to the Grant Agreement) ( ) a) Organisation costs (lump sum) 6750 b) Travel costs (real costs - Table 2.1. and 2.2) c) Subsistence costs (flat-rate grants using scales of unit costs Table 2.1. and 2.2) d) Total (a+b+c) Request for grant payment (expenditure incurred during the eligibility period) Please note that in case of National Agency desk check of supporting material the NA may ask for the following additional supporting documents for the expenditure (see article IV.2 in the grant agreement): For the contribution to costs of organising and running an IP allocated as a lump sum: list of participants (students and teachers) signed by the participants specifying the name of the participant as well as the start and end dates of the IP and a final report filled in by each participant-student. For the contribution on the basis of real costs, that is for travel (including entry/exit visa): invoices, receipts, used travel tickets, photocopy of the visa, boarding passes, proof of payment; For the contribution to subsistence costs: proof of the actual duration of the stay by primarily a certificate of attendance and/or other suitable justifying documents. 12

13 Grant Agreement Reference Number: Part 3 Statistical Data Please fill in three IP Data Dictionaries 2011/2012 in Microsoft Excel format ( IP Data Dictionary ( IP _General ), IP Student Mobility Data Dictionary ( IP _SM ), IP Teacher Mobility Data Dictionary ( IP _TM ). Please sign and stamp printouts of all the IP Data Dictionaries 2011/2012 files, as required, and attached them to the hard copy of the Report. All the IP Data Dictionaries 2011/2012 files should be also sent to the NA via Bezpieczny formularz FRSE: by the deadline. You can download the files from the Erasmus Programme website section Strefa uczelni - Dokumenty do pobrania - Umowa z Narodową Agencją na rok 2011/12 - "Kurs intensywny (IP) : 13

14 Grant Agreement Reference Number: Part 4 -Acknowledgement of Receipt Final Report This page will be returned to you when your final report form has been received. Therefore, please complete the information below clearly. Title of project: Name of Beneficiary Name of legal representative Street Number Country code - Post code - Town/City Fax number Reserved for the National Agency: Documents attached / received - Please give the information about Annexes attachments to printout of the Final Report: title, number of copy/ies, etc. Final Report Annexes Products attached / received - Please give the information about products attached to printout of the Final Report: title, number of copy/ies, etc. We acknowledge receipt of your complete Final Report and your payment request. We acknowledge receipt of your complete Final Report but as several information have to be corrected / clarified we ask you to provide data specified in addressed to IP coordinator - as soon as possible (not later than 30 calendar days from the date of receiving the letter). Your Final Report is incomplete and we ask you to submit the following missing data as soon as possible (not later than 30 calendar days from the date of this Acknowledgement of Receipt): Country Year Project type Project number Poland 2011/12 Intensive Programme ERA_IP_X_2011 Please use this number in all communication with the National Agency. Potwierdzenie wpływu raportu do FRSE-NA Informację poniżej wypełnia NA Yours sincerely Date: Signature: Name: Position: 14